Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelli Beaudoin, PA

Physician Assistant in Dearborn, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891725495

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Registry record

Entity type Individual (Type 1)

Name Kelli Beaudoin

Credential PA

Sex Female

Practice address 18100 Oakwood Blvd, Suite 300, Dearborn, MI, 48124

Phone (313) 429-7977

Fax (313) 429-7981

Enumeration date Jul 3, 2006

Last updated in NPPES Jan 5, 2017

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601003485 (MI) Primary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601003485 (MI) Secondary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kelli Beaudoin practice?

The practice location on file with NPPES is in Dearborn, MI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kelli Beaudoin?

The National Provider Identifier (NPI) for Kelli Beaudoin is 1891725495, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-05.